Individual
DR. TANYA WALLACE-FARQUHARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSN, RN
Contact information
Practice address
47 PLACE ONE DR, ROCHESTER, NY 14626-4810
(407) 913-7815
Mailing address
47 PLACE ONE DR, ROCHESTER, NY 14626-4810
(407) 913-7815
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
822138
NY
163WP0200X
Pediatric Registered Nurse
Primary
L1-0074604
DE
163WP0200X
Pediatric Registered Nurse
RN500016296
DC
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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